Thyroiditis- Acute or Hashi's?

[bjm2363]

Well after a low uptake and scan that showed a little more activity then normal, My doc did the antibody testing. I just got the results tonight (yes he called on A Sunday). The results were:

Ultra Sent TSH: 1.0 (.47-6.90)
FT4: .93 (.7-1.76)
FT3: 2.59 (sorry don't have the ranges here)
He said all antibody testing was normal, but didn't give me the values. I plan on sending for the lab results myself. He also said the radiologist was a bit confused in saying it likely was not Thyroiditis since it has been going on for too long. He thought I had early graves. My doc was surprised at the results and said that they were normal it was likely Thyroiditis and that I am now Euthroid. He wants me to stop my Beta blocker and if my heart rate and blood pressure goes up, then I have a separate issue and should see my PCP or a cardiologist! I don't understand what is going on since I am still hot, am super reactive to events, eat constantly and have trouble sleeping yet. He said I may or may not have another hyper flare and will check my blood work in November before dismissing me. I am so confused...please some advice anybody...Below are other labs over the years since I have been up and down in feeling well.

3/07/06: Ultra Sen TSH: 1.19 (.47-6.90)
2/27/07: Ultra Sen TSH: 0.91 (.47-6.90) Ft4: 1.16 (.75-2.0)
4/25/07: TPO ab: <10 ( 0-34), Anti-thyoglobulin Ab: <20 (0-40)
7/26/08: TSH: 0.78
4/28/10: TSH: 1.40 (.3-5.0)
7/5/10: TSH: 0.12 (ref .38 - 4.70) and the FT4 was .96 (.7-1.76) FT3= 383 (ref 230-420) SED rate 6 (ref <20)
9/2/10: Ultra-sensitive TSH: 0.10 (.47-6.90) Free T4: .87 (.7-1.76) Free T3: 2.4

Does that information point to anything?

[stella5349]

If the doctor ran the Graves test where is it then in the above post? - I don't see it ran./

[lmosall]

Try slowly backing off the beta blocker, it is not good to stop all at once.  it seems so weird reading your posting, i thought I was reading my own!  i did get my results from the endo on the TSI for graves and mine was 600+.  but my last visit early Sept, all counts were normal, after stopping the MMI in August. i was only on it since june.  i still have problems with sleep, and i still have occasional hot flashes, anxiety attacks, and palpitations (then i take a beta).  dr said it is normal to have fluctuations, since the body is still trying to regulate itself.

[bjm2363]

Thanks Stella for replying..I am not feeling well and very discouraged.
I sent for my labs today and they will be mailed.  I also asked for the Radiologist's report.  When the doctor called last night he told me he did antibody testing for Graves and Hashi's and they were normal, but didn't tell me the values... I went off the Beta Blocker today like he told me to and felt hyper, hot-  but my pulse seemed fine at work, although I noticed I was very short of breath after climbing stairs.  I only slept 4 hours last night because I wasn't tired.

But now it has been 36 hours since I have taken the metotropol and I feel awful!   When I got home from work, my pulse rate was around 96 resting , my blood pressure was a little elevated and my chest feels a little tight...I am going to try and stick it out but now I am wondering if I should have gone off the meds!  

[stella5349]

no not really - but in your symptoms and the determination of the radiologist I feel your doctor needs to run the TSI Graves testing to see if those antibodies are present.

You've only posted Hashimoto abs which correlates to hypothyroidism antibodies but everything points to Graves more than Hashi's